Impacto del contaje CD4 y carga viral en estancia hospitalaria de pacientes con coinfección de VIH y tuberculosis en el Hospital de Infectología “Dr. José Rodríguez Maridueña” en el primer semestre de 2017.

Abstract

BACKGROUD: HIV / TB Coinfection is defined as any HIV positive patient with active or latent TB. Currently 11 million live with this Coinfection that is considered by the WHO as a public health problem. Study suggests enhanced immunosuppression in HIV / TB patients METHODS: Cross-sectional descriptive study, in which CD4 counts and viral load copies were performed in the first 24 hours of hospital admission. Patients were divided into two groups according to the mean number of hospitalization days. SPSS version 24 was then used to generate tables and statistical analysis. RESULTS: the study had 179 patients, of whom 81.6% were men and 18.5% were women. Mean years with HIV diagnosis was 3 years. Patients with BDK (-) TB corresponded to 58.1%. The days of hospitalization were from 2 to 39 days. The average age was 37 years. CD4 counts of less than 500 cells / mm3 were associated with lower days of hospitalization with (p = 0.003.). CONCLUSIONS: We concluded that normal CD4 counts (above 500 cells / mm3) performed within the first 24 hours of hospitalization predict a Lower hospital stay and better prognosis in patients with HIV / TB Coinfection.